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Reed-Benoit, Linda Elaine
I s2 NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Linda Elaine Reed-Benoit Female Date of Death Age If Veteran of U.S.Armed Forces, 10/22/2020 73 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Glens Falls Street Address Glens Falls Hospital 0 Manner of Death ©Natural Cause ❑Accident El Homicide El Suicide ❑Undetermined ❑Pending W Circumstances Investigation Medical Certifier Name Title CI Shahid Ahmed MD Address 100 Park St,Glens Falls,New York 12801 Death Certificate Filed District Number Register Number City,Town or Village Glens Falls 5601 483 ❑Burial Date Cemetery,Crematory or Facility Name 10/23/2020 Pine View Crematorium Entombment Address ElCremation Queensbury Town,New York ❑Donation OZ Removal Date Place Removed and/or and/or Held N Hold Address 0 O. Date Point of U) ❑Transportation p by Common Shipment Carrier Destination Date Cemetery Address Disinterment Reinterment Date Cemetery Address Permit Issued to Registration Number Name of Funeral Home Carleton Funeral Home Inc 00281 Address 68 Main Street,P.O.Box 67,Hudson Falls,New York 12839 Name of Funeral Firm Making Disposition or to Whom 1— Remains are Shipped,If Other than Above E Address CC W 0' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 10/23/2020 Registrar of Vital Statistics `R96ertAndrew Curtis(ECectronica1Ty Signed) (signature) District Number 5601 Place Glens Falls, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WL- V Date of Disposition Pi Z317o Place of Disposition �` i— ZIT-- 2 /ddress/ W CC N (section) (lot numjrl (grave number) Name of Sexton or Person in C arge of Premises L " '�1� J r'^tut Z (please print/ / W Signature Title t DOH-1555(07/18)p 1 of 2 Public Health Law Sec. 4145(2b) 01 4 14 2 Receipt 1 1 1 Human remains of .I delivered on 20 1 1 i I Pine View Cemetery Official Representing the funeral home named on burial permit Funeral Directors Reg.or License#,"